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everett <br />e� <br />City of Everett <br />Enginaering Oepartment <br />� <br />_ , / <br />% � ���� 3��� ,. ,� <br />�� - � <br />,. ,, <br />Sewer• Applieation and Permit <br />N0. � � �i � `? DATE <br />Service Address Utility Account No._ <br />yilling A�dress <br />Connection Permit Fee_ <br />City, State, Zip <br />Connection Fee <br />O�vner (Mortgagor) _ Total Fee —_ <br />Billing Name <br />Connection By__ <br />. . . .. � .. Si <br />pESCRIPTION: <br />Lot <br />Block <br />Division or Additio�i <br />cu;ten,cr <br />Suwer District --- <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />�----- -- <br />SEE SKETCH ATTACHED <br />4buttinq Lot Line <br />N, S, E, W <br />Approved By ' <br />City Engineer' <br />I SSU BCI <br />%�j �-�� <br />inspection 8y ^' ���^�""'� <br />Date lnspected��°�— <br />NO. ^�1� <br />